BEKRÄFTELSE AV KLINISK VETENSKAP: FIBROMYALGIA LINKED TO HYSTERECTOMY, GYNEKOLOGISK SJUKDOM: OCKSAMMAR ANSLUTAD TILL ENDOKRIN DISORDERS OCH AUTOIMMUNE

  • Klinisk vetenskap bekräftar: Fibromyalgi är relaterad till hysterektomi, gynekologisk sjukdom: den är också relaterad till endokrina och autoimmuna störningar

 AdminLeave En kommentarOn klinisk vetenskap bekräftar: Fibromyalgi är relaterad till hysterektomi, gynekologisk sjukdom: den är också relaterad till endokrina och autoimmuna sjukdomar.

Har du gynekologisk kirurgi, till exempel en hysterektomi, under några år före skapandet av fibromyalgi?

Det är ett mönster som vissa människor har sett, och ett test som distribueras 2015 stärker sambandet mellan denna typ av operation och uppkomsten av fibromyalgi. Dessutom ger det ytterligare bekräftelse på ett samband mellan fibromyalgi och vanliga täckningsförhållanden som är gynekologiska, endokrina eller immunsystemet.

I undersökningen granskades specialisterna av 219 kvinnor med fibromyalgi och 116 kvinnor med ångest utan uppehållande fibromyalgi. I synnerhet analyserade de tiden mellan sjukdomsuppkomsten och gynekologisk kirurgi och dessutom mängden täckningsförhållanden vid varje möte.

De upptäckte också att var och en av de tre typerna av bestämning de tittade på var fritt relaterad till fibromyalgi. Sköldkörtelsjukdom och gynekologisk kirurgi var generellt mer typiska hos kvinnor med fibromyalgi än hos personer med olika typer av evig ångest.

Planeringen av de gynekologiska operationerna i samband med början av plaggan var särskilt spännande. De upptäckte mer kirurgi under åren strax innan fibromyalgi började, eller året efter att plågan började. Det exemplet var unikt i sin klass för insamling av fibromyalgi.

Vid första anblicken kan det tyckas konstigt att gynekologiska operationer under året efter det att angsten uppstod bör identifieras med förbättring av fibromyalgi.

En sådan anslutning kan emellertid bero på några relaterade variabler.

Tänk exempelvis att många kvinnor har gynekologiska problem långt innan de bestämmer sig för operation som den föredragna behandlingen. Det är möjligt att hormonella förändringar eller gynekologisk sjukdom är riskfaktorer för fibromyalgi som ett resultat av ett grundläggande förhållande som vi ännu inte har fått.

Som framgår av undersökningen var hysterektomier och oophorektomi (utstötning av äggstockarna) troligen inom fyra år före eller efter starten av fibromyalgi.

Det här är absolut en region som kräver mer forskning. Slutligen kan det låta oss förstå varför 90 procent av patienterna med fibromyalgi är kvinnor. Utöver det kan du upptäcka fysiologiska förändringar som kan utlösa sjukdomsprogressionen, vilket kan leda till bättre mediciner och möjligen till och med aversion.

För kvinnor som skapar fibromyalgi efter gynekologisk operation, måste vi också känna igen vilken del som antas, själva operationen spelar och även de tänkbara delarna av de hormonella förändringar som orsakas av operationen. Postoperativ hormonersättningsterapi förtjänar också en aspekt.

Under en tid har specialister spekulerat på att fibromyalgi har starka hormonella länkar och triggers. En 2013-studie hittade gränssnitt mellan tidig klimakteriet och affectiviteten hos expanderad ångest hos patienter med fibromyalgi, som kan identifieras med östrogenhalterna.

Kvinnor med fibromyalgi är särskilt benägna att outhärdliga menstruationsperioder (dysmenorré) och vissa förvirringar av graviditeten.

Denna forskning riktar sig verkligen till min egen speciella upplevelse. Jag var 34 år när min yngste son var tänkt genom C-segmentet och 35 när jag slutade amma. De hormonella förändringarna av det, enligt min gynekolog, ledde mig till en otrolig perimenopause.

Min menstruationscykel slutade anmärkningsvärt sporadisk och perioderna var till stor del betydande och outhärdliga, medan de i allmänhet hade varit vanliga och genuint snälla. Fibromyagias manifestationer tog en kort tid senare.

Ett halvår senare kom jag till en slutsats och urskilde ett exempel: mina utbrott inträffade stadigt mellan ägglossningen och början av min period. Min gynekolog föreskrev ett borttagande av endometrium för att eliminera de hormoner som förkastats av livmoderns förtjockning.

Reträtten gjorde inte bara en slutsats för svåra perioder (och perioder, som regel) höjde min flares andar och gjorde dem mindre och mer avlägsna bland dem. (Se mer om mitt eget äventyr i startkursen: Fibromyalgi kommer in i mitt liv).

Han hade inte haft en hysterektomi, men mellan två graviditeter och två segment C, förutom amning, hade min kropp tydligt genomgått hormonell kontroll.

Speculum utforskning fortsätter att göra kopplingar mellan fibromyalgi och hormonella förändringar och förväntningar om att inom en inte alltför avlägsen framtid, kommer att vara i stor utsträckning bättre förberedda att ta emot, behandla och förebygga fibromyalgi i samband med hormoner.

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